Perforated Meckel’s Diverticulum with Pancreatic and Gastric Heterotropia and Acute Peritonitis - A Case Report

Authors

  • Monika Mehjabin Lecturer (Department of pathology) Shaheed Suhrawardy Medical Collage, Dhaka
  • Mohammed Kamal Ex Professor of Pathology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Md Abdus Sabur Talukder Assistant Professor of Medicine, Colonel Malek Medical College, Manikganj
  • Mizanur Rahman Lecturer(Department of pathology) Dhaka Medical Collage, Dhaka
  • Md Mozzamel Hoque Associate Professor (Department of Surgery) Shaheed Suhrawardy Medical Collage Hospital, Dhaka
  • Farhad Uddin Ahmed Assistant Professor (Department of Surgery) Shaheed Suhrawardy Medical Collage Hospital,Dhaka
  • Md Shamsuddoha Khan Assistant Registrar(Department of Surgery) Shaheed Suhrawardy Medical Collage Hospital, Dhaka
  • Muhammad Tanvir Alam Akhanda IMO (Department of Surgery) Shaheed Suhrawardy Medical Collage Hospital,Dhaka

DOI:

https://doi.org/10.3329/jssmc.v12i2.56893

Keywords:

Meckel’s diverticulum, Pancreatic heterotropia, Gastric heterotropia, Perforation,Peritonitis

Abstract

Meckel’s diverticulum, the most common congenital anomaly of small bowel although usually silent, can cause complications like intestinal obstruction, bleeding, diverticulitis, perforation etc. We report a case, which presented with acute onset of severe pain in right iliac fossa which was clinically and sonographically diagnosed as acute appendicitis. Histopathological report of appendix was non specific findings. Four days after appendectomy patient again came with features of acute abdomen. X-ray abdomen showed free gas under diaphragm. Abdomen was explored with a midline incision, a perforated Meckel’sdiverticulum was found which was managed by wedge resection and repair of the ileum. Histopathological examination of specimen revealed diverticular wall with normal appearing intestinal mucosa and muscle coat which showed two heterotrophic tissues (pancreatic and gastric ) in the wall.These also showed features of perforation and acute peritonitis. This is probably the first case of Meckel’s diverticulitis with heterotropic pancreatic and gastric tissue in Bangladesh.

J Shaheed Suhrawardy Med Coll 2020; 12(2): 115-118

Downloads

Download data is not yet available.
Abstract
35
PDF
36

Downloads

Published

2022-01-03

How to Cite

Mehjabin, M. ., Kamal, M., Talukder, M. A. S., Rahman, M. ., Hoque, M. M., Ahmed, F. U., Khan, M. S. ., & Alam Akhanda, M. T. . (2022). Perforated Meckel’s Diverticulum with Pancreatic and Gastric Heterotropia and Acute Peritonitis - A Case Report. Journal of Shaheed Suhrawardy Medical College, 12(2), 115–118. https://doi.org/10.3329/jssmc.v12i2.56893

Issue

Section

Case Reports